PHYLLIS A TARALLO, DNP,DCC,FNP-C, Family TEANECK, NJ

Contact Information

PHYLLIS A TARALLO, DNP,DCC,FNP-C

718 TEANECK RD
TEANECK, NJ 07666-4245

Phone: 212-305-0448
Fax: 212-342-5600
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Primary Care	363LP2300X	50	Nurse Practitioner
Women's Health	363LW0102X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for PHYLLIS A TARALLO · (Female)

NPI Number	`1043217300`
Status	Active
Credentials	DNP,DCC,FNP-C
Entity	Individual
Enumeration date	07/01/2005
Last updated	02/03/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	NJ License # 26NJ00125100 NY License # 333859 NY Medicaid 0269026
Hospital affiliation(s)	CENTRASTATE MEDICAL CENTER - (Acute Care) 901 WEST MAIN STREET FREEHOLD, NJ 07728 JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care) 1945 RTE 33 NEPTUNE, NJ 07754 OCEAN MEDICAL CENTER - (Acute Care) 425 JACK MARTIN BLVD BRICK, NJ 08724

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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PHYLLIS A TARALLO, DNP,DCC,FNP-C – NPI #1043217300Family

Contact Information

Specialty

Family

Primary Care

Women's Health

NPI Profile & details for PHYLLIS A TARALLO · (Female)

Reviews for PHYLLIS A TARALLO

PHYLLIS A TARALLO, DNP,DCC,FNP-C – NPI #1043217300
Family